NORTH CAROLINA HISPANIC COLLEGE FUND 2015-2016 Application

North Carolina Society of Hispanic Professionals

8450 Chapel Hill Road, Suite 209, Cary, NC 27513

Telephone:919-467-8424 - Fax: 919-469-1785

Email: - Website:

The NC Hispanic College Fund established by the NC Society of Hispanic Professionals awards annual scholarships, worth between $500 and $2500. These scholarships are awarded to recent graduates of North Carolina High Schools who are of Hispanic/Latino background. Winners of a NC Hispanic College Fund scholarship must enroll or be enrolled in a degree or certificate program at a community college or a 2- or 4- year college/university and be committed to public service and community development.

Important Dates

Application is posted on our website all year and updated applications are posted at the beginning of each school year. They can be obtained by writing or calling the NCSHP or by downloading an application from the Internet. Final applicationsmust be received by January 15th of each year. Award announcements will be mailed by March5th.

Scholarship Disbursement

All scholarship awards will be sent directly to the college or university where the recipient enrolls. Scholarship funds will be designated for tuition and/or room and board. If these expenses have already been met, the award will be placed into an account at the educational institution for use by the student as needed.

General Eligibility Criteria

For High School Seniors:

  • Applicant is of Hispanic background (one parent must be fully Hispanic or both parents must be half Hispanic).
  • Applicant is a graduating senior from a North Carolina High School
  • Applicant has a four-year cumulative GPA of 2.5 or better on a 4.0 scale (3.5 on a 5.0 scale)

For College Students:

  • Applicant is of Hispanic background (one parent must be fully Hispanic or both parents must be half Hispanic).
  • Applicant has graduated from a NC high school within the past 2 years.
  • Applicant is currently enrolled in a college or university and has a GPA of 2.5 or better on a 4.0 scale

Eligibility Criteria for Selected Scholarships

  • Duke Energy Scholarship
  • Applicant plans to major in and enter the field of; electrical, mechanical, nuclearchemical,or civil engineering

*Recipients of Duke Energy Scholarships will be awarded only to students that officially enroll in an engineering program. Proof of enrollment and claim of major will be requested. DO NOT SELECT THIS SCHOLARSHIP IF YOU ARE NOT PLANNING TO ENROLL IN A COLLEGE OR UNIVERSITY WITH AN ENGINEERING PROGRAM. PLEASE beprepared to provide necessary documentation proving that you are pursuing thefields of electrical, mechanical, nuclear, chemical or civil engineering

  • “Juntos” Program Scholarship
  • Applicant has participated in the Juntos program within the last 2 years in one or more of the following areas:

□ Juntos 4-H Club and/or Afterschool Program

□ Juntos Academy

□ Academy Team Captain

Selection Criteria

Please submit the following items in one large sealed envelope to the NCSHP by January 15th, 2015.

  • All packets must be postmarked before or onthe 15th of January.Faxed or Emailed applications will NOT be accepted.

Please submit the following items in single large envelope:

1. Two (2) Letters of Recommendation (in two separate signed and sealed envelopes): Please submit 2 letters of recommendation from a pastor, high school teacher, principal, employer or other community leader who can discuss your:

  • Current academic status
  • Academic and extracurricular achievements
  • Personal qualities such as motivation, commitment, leadership, and goal orientation
  • Potential for success and contributions to your community
  • Financial need

2. An official high school transcript OR college transcript: The official transcript must be in a signed and sealed envelope and enclosed within the large envelopeto be mailed directly to the NCSHP. For students enrolled in a college or university, a current college official transcript must be sent within the packet mailed to the NCSHP.

3. Personal statement: An essay of 500 words addressing briefly each of the following topics:

  • Describe why Hispanic parentage and family background are important to you
  • Describe meaningful personal and/or academic achievements that you have had and why these achievementsare important to you
  • Describe your academic plans and career goals, giving specific examples
  • Describe past and current efforts, as well as future plans, towards making a difference in your community

The personal statement is one of the most important selection criteria. It should be written with care and solely for the NC Hispanic College Fund. Title your essay Personal Statement,but do not use a separate cover sheet. Be sure to include the Personal Statement within your packet to be sent directly to the NCSHP. Please note that you will be reviewed based on the aforementioned topics in your personal statement.

4. Completed Application: Answer all questions legiblyor by using a word processor.

5. Completed Resume outline

6. Pages 1 and 2 of your parents'1040 US Tax Form(and yours if applicable).

Additional Considerations

  • Club or community organization involvement and volunteer work.
  • Financial need.
  • Parents’ educational attainment.

MAILING INSTRUCTIONS

  1. Unfoldand Remove all staplesfrom all materials you send (except for those enclosed in a sealed envelope).
  2. Make sure your application packet is complete and includes all requested materials:

Transcript(s) with cumulative GPA (official and in a sealed envelope)

2 Letters of Recommendation (each in a signed, sealed envelope)

Personal Statement

Federal Tax Return(s)

  1. Completed application form
  2. Do not FAX or e-mail applications. DO NOT enclose any materials or documents not requested
  3. Write your full name on each document you submit
  4. Submit all documents on white 8 ½” x 11” paper
  5. Mail application and all materials in a single large envelope, postmarkedno later than January 15th, 2015, to:
NC Society of Hispanic Professionals
NC Hispanic College Fund
8450 Chapel Hill Road, Suite 209
Cary, NC 27513

*** Award notification will be sent to the mailing address indicated in the application. ***

2015-2016 NC Hispanic College Fund

Extracurricular/Volunteer Activities Form

Instructions: Please fill in the form as best as you can with extracurricular and/or volunteer activities you have been involved in. It is not required to fill in ALL the spaces. If you need more space, please feel free to add your activities to a blank piece of paper and add it to your packet with the title "Extracurricular/Volunteer Activities Form" indicated at the top of the page.

Professional Goal:

College Goal:

High School/ College Activities:

Activity / Description / Your Role / Participation Lengths
EXMPLE: Band / Played flute in High School Concert Band / Flute Section Chair / Junior and senior year
EXAMPLE: Tutoring for elementary students / Tutored elementary students after school every day / Tutored students and helped coordinate other tutors for the teacher / Senior year in High School, summer and freshmen year in college

1) Are you of Hispanic heritage (one parent fully Hispanic or both parents half Hispanic)?

Yes No

2) Will you be an entering college freshman for the 2015-2016 academic year?

Yes No

3) Do you have a minimum cumulative high school/CollegeGPA of 2.5 on a 4.0 scale (or 3.5 on a 5.0 scale)?

Yes No

4) If you have already graduated from high school, please indicate the year you graduated. ______

5) Are you a permanent resident of the state of North Carolina? Yes No

6) Gender: Male Female

7) Social Security # _____ - ______- ______(optional; omitting your social security will not in anyway affect the review of your application)

8) Full name: ______

9) Mailing Address:

______

Phone Number ______

Home Phone Number______

Email Address ______

10) Permanent Address (If the same as above, please write “same”):

______

Phone Number ______

Home Phone Number______

Email Address ______

11) Date of Birth:______

12) Country of Birth:______

13) Hispanic Heritage (Check all that apply):

Cuban

Central American: ______

Dominican

Mexican

Puerto Rican

South American: ______

Spanish

14) Did either of your parents ever attend college? Yes No

Degree earned? Yes No

15) College you plan to attend in fall 2015 (please list all that you are considering and indicate whether or not you have applied to them):

a)

b)

c)

16) Expected Major: ______

Career Goal: ______

17) Will you be enrolled in a university in the fall of 2015?
Yes No

18) Will you be enrolled in a 2-year degree program at an accredited university or community college?
Yes No

19) Expected collegegraduation: Month/Year______

Expected Degree:______

20) Total college units (credits) earned to date: ______

From time to time, we may need to communicate with your parents. Please indicate what language your parents prefer:

21)Mother/Legal Guardian: English Spanish

22)Father/Legal Guardian: English Spanish

If you are eligible for and applying to any of the specific scholarships below, please check all the appropriate boxes. If you are not eligible or not applying to either of these scholarships, please do not mark in this section.

Duke Energy Scholarship

North Carolina high school student of Hispanic/Latino background who plansto major in and enter the fields of (please indicate below which field you plan to major in by checking the appropriate box):

Electrical,

Mechanical,

Nuclear,

Chemical or,

Civil engineering at a North Carolina universityor a community college.

"Juntos" Program Scholarship

North Carolina high school student of Hispanic/Latino background who is currently or has been enrolled in the "Juntos" Program in the last two years.

FAMILY FINANCIAL STATEMENT

23) Father's Occupation ______

Mother's Occupation ______

24) Parent(s)’ marital status: Married Single Separated

25) Total Number of dependents your parent(s) support 50% or more (including yourself): ______
Number of siblings you have (not including yourself) ______

26) Do you receive monetary support outside of parental support? If yes, please indicatesource, (i.e. government, partner, boyfriend) ______

27) Yourmarital status: Married Single Separated

28) Number of dependents yousupport 50% or more: ______(do not include your spouse or yourself)

29) Expected student gross annual income $ ______

30) If you are married or cohabitating, your spouse’s/partner’s occupation:______

31) Do you work? Yes No If so, do you work part-time or full-time?______How many hours per week? ______

32) Are you planning to apply for Federal Financial Aid (FAFSA)? Yes NO

33) 2015-2016 annual TUITION (exclude room and board) : $ ______

34) Your age: ______

35) Entire family income is required for consideration.Do not leave a line blank.

Put a zero (0) if no income was received.

Father’s Gross Annual Income$ ______

Mother’s Gross Annual Income $ ______

Student’s Gross Annual Income$ ______

Spouse’s Gross Annual Income $ ______

Social Security or Disability$ ______

TANF or Public Assistance $ ______

Child Support, Alimony $ ______

Other Income (specify) ______$ ______

Personal Loans, Gifts, etc.$ ______

Savings/Investments (e.g., stocks, bonds)$ ______

Last Year's TOTAL GROSS INCOME $ ______

36) Did you or your parents submit a federal tax return last year?

Yes No

If ‘Yes’, please submit pages 1 and 2 of your last submitted Federal Tax Return (if applicable, include yours, your parents', your spouse’s).

37) 2015-2016 ANNUAL Resources (estimate):

Confirmed Scholarships & Tuition Waivers $ ______

Anticipated Scholarships and Tuition Waivers$ ______

Annual Student Loans$ ______

Annual Workstudy $ ______

Annual Assistantship/Fellowships$ ______

Annual JTPA or PIC Benefits $ ______

Annual Veterans Benefits $ ______

Annual Pell Grant $ ______

Other Grants (annual) $ ______

TOTAL PROJECTED RESOURCES $ ______

If total household income is less than $6,000 per year, please specify funding sources, including specific amounts that allow you to live daily:

______

Please explain and specify any significant income changes within the last year or any extremely unusual expenses:

______

CERTIFICATION:Student must read all the terms and conditionscheck all boxes,and SIGN BELOW to be eligible for consideration.

I give my college/high school consent to release to the NC Hispanic College Fund all information pertaining to this application package including; GPA, enrollment, financial, and contact information.

I certify that all the information provided is complete and accurate to the best of my knowledge.

I understand that falsification of any application information will result in termination of any scholarship granted.

I certify that I will be enrolled as a part-time or full-time student for the 2015-2016 academic year.

I certify that I am of Hispanic background (one parent must be fully Hispanic or both parents must be half Hispanic).

I understand that I must e-mail any changes in my academic status to . Changes in academic status may result in award termination, suspension or refund of your award.

I understand that all award decisions and notifications are final and exceptions cannot be made.

I understand that application materials become the property of the NCHCF and cannot be returned.

I understand that any scholarship funds awarded to me will be distributed directly to the university or college in which I am enrolled.

I understand that applicants and their relatives are barred from advocating for themselves by directly approaching selection committee members. Doing so may result in an automatic removal from consideration for a NC Hispanic College Fund scholarship.

I understand that incomplete and late application materials will result in ineligibility and exceptions cannot be made.

I understand that I must reapply each eligible year with no guarantee of renewal if I am a scholarship winner.

I certify that I have read this application and accept all conditions.

Student’s signature______Date ______

Parent/Guardian’s Signature ______Date ______

(If student is under 18 years old)

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